Ann Geriatr Med Res.  2021 Sep;25(3):160-169. 10.4235/agmr.21.0100.

The Aging Study of Pyeongchang Rural Area (ASPRA): Findings and Perspectives for Human Aging, Frailty, and Disability

Affiliations
  • 1Division of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 2Marcus Institute for Aging Research, Hebrew Senior Life, Boston, MA, USA
  • 3Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea
  • 4Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 5Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 6Department of Gastroenterology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
  • 7Harvard T. H. Chan School of Public Health, Boston, MA, USA
  • 8Goldman Urology Clinic, Seoul, Korea
  • 9PyeongChang Health Center & County Hospital, PyeongChang, Korea
  • 10Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA

Abstract

The Aging Study of Pyeongchang Rural Area (ASPRA) is a population-based, prospective cohort study of older adults in Pyeongchang, South Korea. Since the initial enrollment of 382 participants, the ASPRA has been maintained and has conducted comprehensive geriatric assessments annually, gradually expanding its population and coverage area. As a cohort study of aging-related conditions and their functional consequences, the ASPRA leveraged Pyeongchang’s relatively low annual population movement rate and its healthcare delivery system, which was largely maintained by community health posts. Since its establishment, the ASPRA has reported numerous observational and multicomponent intervention studies on functional decline, geriatric syndrome, and frailty. Here, we discuss the findings and perspectives of ASPRA studies. We hope that the ASPRA enables the further implementation of a longitudinal study design on geriatric parameters and the development of public health strategies targeting aging-related conditions, especially in resource-limited community settings.

Keyword

Cohort; Frailty; Aging phenotype; Intervention
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